Jethro, Virginia A

Jethro, Virginia A is an individual health care provider with primary practice located at 1110 Se Cary Pkwy Suite 206, Cary NC 27518-7420. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Jethro, Virginia A can be contacted via phone (919) 463-1101.

Contact Information

Primary practice address
1110 Se Cary Pkwy Suite 206 Cary NC 27518-7420
Fax: (919) 463-1110
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 103811 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X MA-052635 Pennsylvania

Profile Details

NPI number 1114988292
LBN Legal business name Jethro, Virginia A
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 29th, 2006
Last updated Apr 1st, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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